Individual
TARA N SADONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2852 EYDE PKWY, SUITE 175, EAST LANSING, MI 48823-5378
(517) 333-4600
Mailing address
DEPT CH 19153, PALATINE, IL 60055-0001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TS005449
MI
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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